[心脏康复“3.0”：从急性期到慢性期。意大利心血管预防与康复协会（GICR - IACPR）的立场文件]

[Cardiac rehabilitation "3.0": from the acute to the chronic stage. A position paper from the Italian Association for Cardiovascular Prevention and Rehabilitation (GICR-IACPR)].

作者信息

Pedretti Roberto F E, Fattirolli Francesco, Griffo Raffaele, Ambrosetti Marco, Angelino Elisabetta, Brazzo Silvia, Corrà Ugo, Dasseni Nicolò, Faggiano Pompilio, Favretto Giuseppe, Febo Oreste, Ferrari Marina, Giallauria Francesco, Greco Cesare, Iannucci Manuela, La Rovere Maria Teresa, Mallardo Mario, Mazza Antonio, Piepoli Massimo, Riccio Carmine, Scalvini Simonetta, Tavazzi Luigi, Temporelli Pier Luigi, Mureddu Gian Francesco

机构信息

U.O. Cardiologia Riabilitativa, Dipartimento di Cardioangiologia Riabilitativa, Istituti Clinici Scientifici Maugeri, IRCCS di Pavia.

S.O.D. Riabilitazione Cardiologica, Dipartimento di Medicina Sperimentale e Clinica, Università di Firenze, AOU Careggi, Firenze.

出版信息

G Ital Cardiol (Rome). 2018 Oct;19(10 Suppl 3):3S-40S. doi: 10.1714/3001.30010.

DOI:10.1714/3001.30010

PMID:30353206

Abstract

Cardiac rehabilitation (CR) represents a cardiology subspecialty that is devoted to the care of cardiac patients, early and long term after an acute event. CR aims at improving both quality of life and prognosis through risk and prognostic stratification, clinical stabilization and optimization of therapy, management of comorbidities, treatment of disability, and the provision of sustained long-term preventive and rehabilitative services.The mission of CR has changed over time. From being centred on the acute phase, health care of cardiac patients is increasingly involving the long-term chronic phase. The aim of the present position paper is to provide the state of the art of CR in Italy, discussing strengths and weaknesses as well as future perspectives.

摘要

心脏康复（CR）是心脏病学的一个亚专业，致力于在急性事件发生后的早期和长期对心脏病患者进行护理。心脏康复旨在通过风险和预后分层、临床稳定和治疗优化、合并症管理、残疾治疗以及提供持续的长期预防和康复服务来改善生活质量和预后。心脏康复的使命随着时间的推移而发生了变化。从以急性期为中心，心脏病患者的医疗保健越来越多地涉及长期慢性期。本立场文件的目的是介绍意大利心脏康复的现状，讨论其优势和劣势以及未来前景。